Active NPI
William Benjamin Bleazard, DPT
- Physical Therapist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 450 Country Club Rd Ste 325
Eugene, OR 97401-6134 - Phone
- (541) 345-8895
- Fax
- (541) 345-8867
- NPI assigned
- Jun 29, 2007
- Last updated
- Dec 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OR | Primary |
Addresses
Primary practice location
450 Country Club Rd Ste 325
Eugene, OR 97401-6134
Mailing address
450 Country Club Rd Ste 325
Eugene, OR 97401-6134
Phone (541) 345-8895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006506 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Country Club Rd
Suite 325
Eugene, OR 97401-6134
Phone (541) 915-3811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aligned Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Physical Therapy, Inc. | Past | Accepting new patients |
Locations
1603 Oak St
Eugene, OR 97401
Phone (541) 345-8895
450 Country Club Rd
Ste 325
Eugene, OR 97401
Phone (541) 345-8895
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Eugene, OR
- NPI 1265829816
Physical Therapist
-
- Physical Therapy Clinic/Center
- Eugene, OR
- NPI 1508057654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1467659631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 COUNTRY CLUB RD STE 325",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016134",
"telephone_number": "541-345-8895",
"fax_number": "541-345-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 COUNTRY CLUB RD STE 325",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016134",
"telephone_number": "541-345-8895",
"fax_number": "541-345-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEAZARD",
"first_name": "WILLIAM",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006506",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.